J LEE PETTIGREW DDS PA – Dental Clinic/Center, NPI 1619364114

J LEE PETTIGREW DDS PA is a healthcare provider. based in Southlake, Texas. specializing in Dental Clinic/Center. The organization holds a License No. 15943 (TX). The NPI Number for J LEE PETTIGREW DDS PA is 1619364114

Main info

Organization
Name
J LEE PETTIGREW DDS PA
NPI
1619364114
Phone
(817) 481-4888
Address
201 PLAYERS CIR
Authorized Official
DR. JERRY LEE PETTIGREW JR. OWNER DDS
Enumeration Date
22 April 2015
Last Update Date
22 April 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for J LEE PETTIGREW DDS PA

  • 201 PLAYERS CIR

    STE 100

    SOUTHLAKE, TX 760926944

    Phone: (817) 481-4888

    Fax: (817) 421-7370

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76092)

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Reviews

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Frequently asked questions

How is J LEE PETTIGREW DDS PA identified in CMS data?
CMS-hosted NPPES data lists J LEE PETTIGREW DDS PA with NPI 1619364114.
Can I rely on J LEE PETTIGREW DDS PA being an active provider?
As of the registry snapshot, J LEE PETTIGREW DDS PA is marked active.
What is J LEE PETTIGREW DDS PA's specialty?
The listing groups J LEE PETTIGREW DDS PA with Dental Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is J LEE PETTIGREW DDS PA based?
J LEE PETTIGREW DDS PA is tied to Southlake, Texas in the data we show; additional addresses may exist on the full record.
Is the information about J LEE PETTIGREW DDS PA up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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